医学教育管理 ›› 2019, Vol. 5 ›› Issue (6): 520-524,530.doi: 10.3969/j.issn.2096-045X.2019.06.008

• 临床教学 • 上一篇    下一篇

OSCE在临床医学毕业考核中的应用与研究

谢 璇  唐 健   赵芷汀   

  1. 徐州医科大学第一临床医学院,徐州 221000
  • 收稿日期:2019-08-26 出版日期:2019-12-20 发布日期:2020-01-21

Application and research of objective structured clinical examination (OSCE) in clinical medicine

Xie Xuan, Tang Jian, Zhao Zhiting   

  1. The First Clinical Medical College, Xuzhou Medical University, Xuzhou 221000, China
  • Received:2019-08-26 Online:2019-12-20 Published:2020-01-21

摘要: 目的 研究客观结构化临床考试(objective structured clinical examination,OSCE)是否是适合大规模临床医学专业毕业生的考核模式,为临床教学改革和培养方案修订提供客观依据。方法 采用OSCE对徐州医科大学2016 届和2017 届共计1 554 名临床医学专业学生进行临床实践技能考核,每届抽取500 名学生,两届共1 000 名学生进行问卷调查。结果 OSCE 考核成绩总体呈正态分布,其中第二站辅助判读为九站中得分最低站(P < 0.05)。问卷调查结果显示,99.7% 的考生认为OSCE 对今后的临床工作有帮助,98.52% 的考生认为有必要推广。结论 OSCE 是一个相对公平、有效的临床技能综合评估方式,受到了考生的认可,是适合我校临床医学专业毕业生的考核模式。

关键词: 客观结构化临床考试, 临床技能, 毕业考试

Abstract: Objective To study whether objective structured clinical examination (OSCE) is suitable for large-scale clinical medical graduation examination, to provide objective reference for clinical teaching reform and training program revision. Methods The clinical practice skills of 1 554 clinical medical students in Grade 2016 and 2017 were assessed by OSCE. A total of 1000 students were randomly selected from two grades to conduct a questionnaire survey. Results The overall performance of OSCE assessment results was normal distribution, among which the second station auxiliary interpretation was the lowest point in nine stations (P<0.05). The results of the questionnaire show that 99.7% of the examinees agree that OSCE is helpful for the future clinical work, and 98.52% of the examinees think it worthy of promotion. Conclusion OSCE is recognized by the examinees as a relatively fair and effective comprehensive assessment method for clinical skills, and is suitable for the assessment mode of clinical medicine graduates.

Key words: objective structured clinical examination, clinical skills, graduation examination